Antequa Chatman
Dallas,TX
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet individual and team goals.
Overview
8
8
years of professional experience
Work History
Accommodation Consultant
Sunlife
05.2022 - Current
- Engage in the interactive process with employees and provide guidance to clients on policy/procedures, leave exceptions, and reasonable accommodation requests
- Provide coaching and guidance to clients on ADAA Compliance
- Identify alternative accommodations to propose to clients/ employees to mitigate risk
- Create workflow guides tailored toward individual clients to ensure compliance and consistency
- Provide process improvement recommendations; develop and implement process plans accordingly
- Demonstrate knowledge and expertise in employment law and ensure compliance with all local, state, and federal regulations.
Senior Short Term Disability Specialist
Metlife
05.2021 - 04.2022
- Conducts reviews and analyses and corresponds with relevant parties
- Supports the maintenance of customer-specific data to ensure quality and accuracy
- Handle second level escalated customer contacts and phone referrals requiring additional research
- Manages an assigned caseload of moderately complex claims
- Develops and maintains strong working relationships with internal and external customers.
Disability Representative, Sr.
Sedgwick Claims Management Services Inc.
07.2017 - 04.2021
- Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to a disability plan
- Reviews and analyzes complex medical information (i.e
- Diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan
- Utilizes the appropriate clinical resources in case assessment (i.e
- Duration guidelines, in-house clinicians)
- Communicates with the claimants providers to set expectations regarding return to work
- Determines benefits due, makes timely claims payments/approvals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets
- Medically manages disability claims ensuring compliance with duration control guidelines and plan provisions
- Communicates clearly with claimant and client on all aspects of claims process either by phone and/or written correspondence
- Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and/or claims system
- Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims
- Evaluates and arranges appropriate referral of claims to outside vendors for physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities
- Negotiates return to work with our without job accommodations via the claimants physician and employer
- Refers cases as appropriate to supervisor and management
- Maintains professional client relationships.
Disability Claims Manager STD
Cigna
01.2016 - 07.2017
- Makes timely claim decisions by determining customer eligibility, reviewing contractual language and medical documentation based on facts presented
- Partners directly with clients and Vocational Rehabilitation Counselors to facilitate return to work either on a full-time or modified duty basis
- Networks with both customers and their physicians to medically manage claims from initial medical requests to reviewing and evaluating ongoing medical information
- Pays all covered claims accurately and timely while meeting on all customer performance guarantees
- Responds to all telephonic and email inquiries within customer service protocols in a clear, concise and timely manner
- Manages both new claims and open claims equally and maintains decision times within compliance standards
- Adheres to standard timeframes for processing mail, tasks, and outliers.
Education
Bachelor of Arts - General Studies
University of North Texas
Denton, TXHigh School Diploma -
W.T.White High School
Dallas, TX05.2006
Skills
- Attention to detail
- Problem-Solving
- Client Relationships
- Best Practices Implementation
- Integrity and Honesty
- MS Office
- Analytical Thinking
- Issue Resolution
- Exceptional communication skills
- Organized
- Skilled multi-tasker
- Advanced computer skills
- Data analysis
Additional Information
I have retail experience at Tom Thumb and MAC cosmetics.
Timeline
Accommodation Consultant
Sunlife
05.2022 - Current
Senior Short Term Disability Specialist
Metlife
05.2021 - 04.2022
Disability Representative, Sr.
Sedgwick Claims Management Services Inc.
07.2017 - 04.2021
Disability Claims Manager STD
Cigna
01.2016 - 07.2017
Bachelor of Arts - General Studies
University of North Texas
High School Diploma -
W.T.White High School